Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,791.22 / $8,446.32 / $15,053.20	Facility		$3,791.22	$8,446.32	$15,053.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,791.22 / $3,999.04 / $14,459.90	Professional		$3,791.22	$3,999.04	$14,459.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,109.81 / $10,856.33 / $30,666.01	Professional		$4,109.81	$10,856.33	$30,666.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,562.03 / $12,342.56 / $19,908.12	Facility		$10,562.03	$12,342.56	$19,908.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,507.83 / $15,895.26 / $18,062.80	Professional		$7,507.83	$15,895.26	$18,062.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,791.22 / $4,961.68 / $8,070.93	Facility		$3,791.22	$4,961.68	$8,070.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $4,821.00 / $8,205.56	Facility		$2,803.00	$4,821.00	$8,205.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,930.42 / $11,968.59 / $31,307.40	Professional		$4,930.42	$11,968.59	$31,307.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $399.41 / $2,834.13 / $9,117.76	Professional		$399.41	$2,834.13	$9,117.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,791.22 / $4,961.68 / $8,070.93	Facility		$3,791.22	$4,961.68	$8,070.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,866.00 / $13,640.00 / $18,012.06	Professional		$8,866.00	$13,640.00	$18,012.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82,115.20 / $82,115.20 / $82,115.20	Facility		$82,115.20	$82,115.20	$82,115.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,985.67 / $20,288.90 / $31,492.08	Professional		$7,985.67	$20,288.90	$31,492.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,290.52 / $14,290.52 / $14,290.52	Professional		$14,290.52	$14,290.52	$14,290.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,788.15 / $23,801.64 / $23,801.64	Professional		$13,788.15	$23,801.64	$23,801.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,869.34 / $11,968.59 / $20,506.40	Professional		$4,869.34	$11,968.59	$20,506.40